MEDICARE: LUAT T. NGUYEN, MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician

General Provider Information

NPI Number	:	1144342924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUAT T. NGUYEN, MD PA

Provider Business Mailing Address
First Line	:	501 RITA LANE
Second Line	:	SUITE 105
City	:	ARLINGTON
State	:	TX
Zip	:	76014-2010
Country	:	US
Telephone Number	:	817-375-1400
Fax Number	:	817-701-1979

Provider Business Practice Location Address
First Line	:	501 RITA LANE
Second Line	:	SUITE 105
City	:	ARLINGTON
State	:	TX
Zip	:	76014-2010
Country	:	US
Telephone Number	:	817-375-1400
Fax Number	:	817-701-1979

Authorized Official
Title or Position	:	MD PA
Name	:	DR. LUAT T NGUYEN
Credential	:	MD PA
Telephone Number	:	817-375-1400

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	07/15/2014

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